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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

Paddington 1909

Report on the vital statistics and sanitary work for the year 1909

Published
1910
Author
Dudfield, Reginald.
Pages
106
Tables
94

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94 tables in this report

  • Page 1
    Estimated Population. 1909.
    Males.Females.Persons.
  • Page 2
    TABLE I. Meteorological Elements.
    Means at 9 a.m.Extreme Temperatures.Rain.Sunshine.
    Barometer reduced to sea levelThermometer.Shade.Max. in Sun. F.°Min. on Grass. F.°Depth of, Inches.No. of Days.Number of Hours.Number of Days.
    Dry Bulb. F.°Wet Bulb. F.°Maximum. F.°Minimum. F.°
    H.M.
  • Page 4
    TABLE 2. Births. Paddington. Corrected as fully as possible.
    All Births.Illegitimate Births.
    Corrected Totals.Birth Rates.Corrected Totals.Percentage of all Births.
    Per 1,000 persons.Per 1,000 females, aged 15-45 years.
    1909.1909.1908.1909.1908.1909.1909.1908.
  • Page 4
    TABLE 3. Births and Birth.Rates.
    Births Registered.1Birth.Rates.
    Per 1,000 persons.Per 1,000 females, 15-45 years.
    1909.1909.1904-08.1909.1904-08.
  • Page 6
    TABLE 4. Notifications. Paddington. Corrected for duplicate certificates only.
    Smallpox.Diphtheria.Membranous Croup.ErysipelasFevers,Totals.
    Scarlet.Enteric. (Typhoid)Continued.Puerperal
  • Page 7
    TABLE 5. Morbidity Rates.* Metropolis, Borough, and Districts Circumjacent to the Borough.
    Disease.Paddington.London.Kensington.Westminster.Maryle-bone.Hamp-stead.Willesden.
    1909Mean 1904-81909Mean 1904-81909Mean 1904-81909Mean 1904-81909Mean 1904-81909Mean 1904-81909Mean 1904-8
  • Page 7
    TABLE 6. Notifications : Sex-Age Distribution. Paddington.
    Ages. (Years.)Smallpox.Diphtheria.Membranous Croup.Erysipelas.Fevers,
    Scarlet.Enteric.Continued.Puerperal. F.
    M.F.M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 8
    TABLE 7. Notifications : Ward Distribution.
    Disease.Queen's Park.Harrow Road.Maida Vale.West-bourne.Church.Lancaster Gate,Hyde Park.
    West.East.
  • Page 8
    Gross Mortality Rates. (All Causes).
    Quarters.1234
  • Page 9
    Nett Mortality Rates. (All Causes).
    Quarters.1234
  • Page 9
    TABLE 8. Nett Totals of Deaths and Mortality Rates.
    Deaths, All causes, all ages. 1909.Mortality Rates.*
    1909.1904-08.
    Males.Females.Persons.Males.Females.Persons.Males.Females.Persons.
  • Page 10
    TABLE 9. Sex-Age Mortality Rates.*
    Sex.Age.Period.Borough.Wards,
    Queen's Park.Harrow Rd.Maida Vale.Westbourne.Church.Lancaster GateHyde Park.
    West.East.
  • Page 11
    TABLE 10. Mortality Rates. * Borough, Metropolis and Districts circumjacent to the Borough.
    District.Period.All CausesSmallpox.MeaslesScarlet Fever.Diphtheria.Whooping Cough.Enteric FeverDiarrhceal Dis.Phthisis.Other Tub. Dis.Cancer.Infantile Mortality†
  • Page 11
    TABLE 11. Corrected Mortality Rates: All Causes.
    DistrictStandard Rate.Corrected Rate, 1909.Excess ( + ) Defect (— )Mean Corrected Rate, 1904-08.Increase ( + ) Decrease(—)
  • Page 13
    Diphtheria. (Including Membranous Croup).
    No. of1909. 1908.1907.1906.1905.1904.
  • Page 14
    TABLE 12. Notifications in each Quarter of the Year.
    Borough.Queen's Park.Harrow Road.Maida Vale.Westbourne.Church.Lancaster Gate,Hyde Park.
    West.East.
    Quarters123412341234123412341234123412341234
  • Page 15
    TABLE 13.
    Ward.Diphtheria (including Membranous Croup).Scarlet Fever.Enteric Fever (including Continued Fever.)
    Cases.Deaths.Cases.Deaths.Cases.Deaths.
    Total Reported.Removed to Hospital.At Home.In Hospital.Total Reported.Removed to Hospital.At Home.In Hospital.Total Reported.Removed to Hospital.At Home.In Hospital.
  • Page 15
    TABLE 14.
    Diphtheria.Scarlet Fever.Enteric Fever.
    1909.Mean. 1901-08.1909.Mean. 1904-08.1909.Mean. 1904-08.
  • Page 16
    The frequency of multiple notifications from individual houses during the past five years is indicated by the subjoined figures :—
    No. of Notifications.1909.1908.1907.1906.1905.
  • Page 16
    After elimination of cases erroneously diagnosed, the frequency of multiple cases observed during the past year was as follows:—
    Cases2345
  • Page 17
    TABLE 15. Corrected Mortalities.
    District.Diphtheria.Scarlet Fever.Enteric Fever.
    Standard Rate.Corrected Rate.Standard Rate.Corrected Rate.Standard Rate.Corrected Rate.
    1909.Mean. 1904-08.1909.Mean. 1904-08.1909.Mean. 1904-08.
  • Page 19
    TABLE 16. Childbed Morbidity and Mortality.
    District.Year.Puerperal Fever.Mortality per 1,000.
    Puerperal Fever.Accidents & Diseases of Parturition.Total in Childbed.
    Morbidity per 100 Births.Fatality per 100 Cases.Births.Women, Aged 15-45 yrs.Births.Women, Aged 15-45 yrs.Births.Women, Aged 15-45 yrs.
  • Page 21
    TABLE 17.
    Site of Disease.Deaths.Mortality Rates.
    1909.1909.1904-08.
    Males.Females.Persons.M.F.P.M.F.P.
  • Page 22
    TABLE 18.
    Phthisis.Other Tuberculous Diseases.
    Deaths, 1909.Mortality.Deaths, 1909.Mortality.
    1909.1904-08.1909.1904-08.
  • Page 22
    TABLE 19. Fully Corrected Mortality Rates. (London experience).
    Locality.Persons per acre (1901).Percentage of total population (Census 1901).Pulmonary Tuberculosis.Cancer.
    "Overcrowded."Living in homes of less than 5 rooms.Standard Rate.Fully Corrected Rate.Standard Rate.Fully Corrected Rate.
    1909.1904-08.1909.1904-08.
  • Page 23
    Pulmonary Tuberculosis.
    Ages0—15—20—25—35—45—55—65—75—
  • Page 23
    Other Forms of Tuberculosis.
    Ages0—1—5—10—15—20—25—35—45—55—65—
  • Page 24
    Of the 9 persons dying in lunatic asylums, 2 were known to be consumptive on admission and another was possibly so, the remainder contracting the disease after admission.. Particulars of the cases are appended—
    Sex.Age.Date of reception.Consumptive on reception.Date of diagnosis.Date of death.
  • Page 24
    Of the 4 patients dying in St. Luke's Home, the following are the notes furnished by the Medical Officer:—
    Sex.Age.Stay in home.History of duration of disease.
  • Page 25
    TABLE 20. Consumption. Cases reported prior to 1909.
    Year of First Report.During 1909.Survivors, 1Q10.
    Living at end of 1908.Old cases re-entered (Informal Reports).Reported to have recovered. Arrested.Lost sight of by removal.Original diagnosis not verified. Errors.Died—cause of death, pulmonary consumption.Living at end of 1909.Medically certified. "Definite."Not medically certified. "Suspects."Attending Dispensary.
    Survivors.Survivors."Definite.''"Suspect."
  • Page 28
    TABLE 21. New Cases of Consumption. 1909.
    Dispensary.Poor Law.Other Medical Sources.Lay Reports.Totals.
    "Definite." (D)"Suspect." (S)
  • Page 29
    TABLE 22. Cases and Deaths: Sex-age Distribution. 1909.
    Ages (years).All ages.
    0-1-5-10-15-25-35-45-55-65-75-Males.FemalesPersons
    mfMfmfmfmfmfmfmfmfmfmf
  • Page 30
    TABLE 23. Occupations of Consumptive Persons. 1909.
    Occupations.Survivors 1908.DispensaryPoor Law.Other Medical.Lay Reports.Totals.DiedRemoved, &c.Survivors, 1909.
    "Definite""Suspect"
    "Definite""Suspect"
    (173)(206)(241)(118)(19)(44)(801).(84).(60).(313).(344.)
    Indoorm.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.
  • Page 31
    Cancer.
    Queen's Park.Harrow Road.Maida Vale.Westbourne.Church.Lancaster GateHyde Park.
    West.East
  • Page 31
    The changes in the sex-age mortality rates (whole Borough) are shown below:—
    Ages:25-35-45-55-65-75-85-
  • Page 32
    TABLE 24. Deaths from CANCER. 1909.
    Seat of Disease.Carcinoma.Cancer.Epithelioma.Scirrhus.SarcomaMalignant Disease.Other Forms.All Forms.
    m.f.m.f.M.f.m.f.m.f.m.f.m.f.M.f.
  • Page 33
    The 709 cases were reported from 390 houses, giving an average of 1.8 cases per house, as compared with 1.6 in 1908. The frequency of multiple cases in each of the last six years is shown below:
    1909.1908.1907.1906.1905.1904.
  • Page 33
    Measles. Fatality at all ages, per 100 cases.
    1909.1908.1907.1906.1905.1904.
  • Page 34
    TABLE 25. Measles.
    0—1—2—3—4—5—13—15—
    M.F.M.F.M.F.M.F.M.F.M.f.m.F.M.f.
  • Page 34
    TABLE 26. Measles.
    Locality.1904.1905.1906.1907.1908.1909.Mean 1904-08.
  • Page 35
    TABLE 27.
    Locality.Measles.Whooping Cough.
    Standard Rate.Corrected Rate.Standard Rate.Corrected Rate.
    1909.1904-08.1909.1904-08.
  • Page 35
    TABLE 28.
    Locality.Measles.Whooping Cough.
    1909.1904-8.1909.1904-08.
  • Page 37
    TABLE 29. Whooping Cough.
    0—1—2—3—4—5—13—15—
    m.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.
  • Page 37
    TABLE 30. Whooping Cough.
    Locality.1904.1905.1906.1907.1908.1909.Mean Fatalitv, 1904-08.
  • Page 38
    TABLE 31.
    Locality.Epidemic Influenza.Respiratory Diseases.Alcoholism.Cirrhosis of Liver.Suicide.
    1909.1904-8.1909.1904-8.1909.1904-8.1909.1904-81909.1904-8.
  • Page 40
    TABLE 32. Infantile Mortality : Fully corrected rates. Per 1,000 births.
    Locality.Males.Females.Persons.
    1909.1908.1907.1906.1905.1909.1908.1907.1906.1905.1909.1908.1907.1906.1905.
  • Page 40
    TABLE 33. Mean Infantile Mortality: Index Numbers.
    Locality.Total Births. 1905.-09 Corrected.Total Deaths. 1905-09 Corrected.Mean Mortality.Index Numbers.
    M.F.M.F.M.FP.M.F.P.
  • Page 42
    TABLE 34. "Hopeless Births" 1909. Method "A" (See text).
    Cause of Death.Days.Weeks.MonthsTotal.
    0—1—2—3—4—5—6—1—2—3—1—2Males.FemalesPersons
    m.f.m.f.m.f.m.F.m.f.m.f.m.f.m.f.m.f.m.f.m.f.
  • Page 44
    TABLE 35. Special Insulce. Infantile Mortality
    Ward.Special Areas.— Insulæ.1909.Infantile Mortality.
    Births.Deaths, 0—1.1909.1908.1907.1906.1905.
  • Page 45
    TABLE 36. Special Insulœ. Causes of Death.
    Cause of Death.No. of Deaths.Mortality.
    Combined InsulœRest of Borough.Combined Insulœ.Rest of Borough.
  • Page 46
    Infantile Mortality. Per 1,000 Births (corrected).
    Combined Insulœ.Rest of Borough.Whole Borough.
    1909.1908.1909.1908.1909.1908.
  • Page 47
    MULTIPLE CASES REPORTED.
    No. of CaseInitials.Sex.Age. Yr.Dates ofNo. of CaseInitials.Sex.Age. Yr.Dates of
    Onset.Recovery(R) Death (D)Onset.Recovery(R) Death (D)
  • Page 48
    MULTIPLE CASES—NOT REPORTED.
    No. of CaseInitials.Sex.Age. Yr.Date of Onset.Notes of attacks not reported.
  • Page 49
    TABLE 37. Diarrhœa, 1909.
    Methods of Feeding.Months.Years.Totals.
    0—1—3—6-9-0—1—2-3—
    M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 50
    Method of Feeding.
    Age at first visit.At the Breast.Entirely by Hand.Mixed.Totals.
  • Page 51
    Children visited during
    Diseases.Breast.1908 Artificial.Mixed.Breast.1909 Artificial.Mixed.
  • Page 53
    TABLE 39. Causes of Death One to Five Years.
    Cause of Death.Ages (Years).
    1—2—3—4—5
    1909.1904-08.1909.1904-08.1909.1904-08.1909.1905-08.
  • Page 53
    Mortality Rates in Combined Insulœ.
    Ages.
    123-4
    190719081909190819091909
  • Page 54
    TABLE 40. Inquests Held.
    1909.1904-08.
    Males.Females.Males.Females.
  • Page 54
    Percentages of all Deaths of Residents.
    19091904-0819091904-08
  • Page 56
    TABLE 41. Report of the Work of the District Inspectors during the year 1909.
    Inspection of Dwelling Houses.Sanitary Works completed in Dwelling Houses.To Regulate Keeping of Animals.
    Drainage, &c.Water Supply.Dust Receptacles.Miscellaneous.
    Quarters.No. of Complaints received."House-to-House."On Complaint or after Illness.Cellar Dwellings.Re-inspection of all kinds.Entire Reconstruction.Drains Relaid, Trapped, or Ventilated.Waste Pipes Disconnected.Rain-water Pipes Disconnected.W.C's., New Provided, Repaired, &c.Soil Pipes Ventilated.Services Separated.Supplies Reinstated.Cisterns, New, Provided.Cisterns Cleansed, Repaired, &c.Cistern Overflows Disconnected.New, Provided.Repaired, &c.Drains Cleared, Flushed, &c.Houses or Rooms Cleansed, Whitewashed, &c.Cases of Overcrowding Abated.Cellar Dwellings Closed.Yards and Areas Paved and Drained.Manure Receptacles Reconstructed, &c.Accumulations Removed.Improperly-kept Removed.
  • Page 58
    TABLE 42.
    Notified Diseases.Non-notified Diseases.
    Scarlet Fever.Diphtheria.Measles.Chicken Pox.Whooping Cough.
    p.a.p.n.a.n.r.p.a.p.n.a.n.r.
  • Page 59
    School Closures.
    School.Class-room.Closure.Disease.
    Date of.Duration of.
  • Page 59
    "Unprotected" Children Excluded.
    School.Class-room.Exclusion.Disease.
    Date of.Duration of.
  • Page 60
    "Unprotected" Children Excluded—continued.
    School.Class-room.Exclusion.Disease.
    Date of.Duration of.
  • Page 62
    In 100 hours' observations.
    190919081907190619051904
  • Page 63
    1909. Smoke Observations.
    Address.Business.Chimney Shaft of
  • Page 66
    TABLE 44. Inspections of Workshops, &c. 1909. (See also Appendix, Table VIII.)
    1909.1908.
  • Page 67
    Water-closet Accommodation.
    1902.1904.1906.1907.1908.1909.
  • Page 69
    TABLE 45. Numbers of Tenements and Inhabitants therein. Registered during 1909.
    Rooms to Tenement.12345678
    TP/1010/PTP/1010/PTP/1010/PTP/1010/PTP/1010/PTP/1010/PTP/1010/PTP/1010/P
  • Page 69
    The table may be summarised thus:—
    Tenements of—Total.Occupants.Average persons per room.
    Houses registered 1908.Borough Census 1901.
  • Page 70
    TABLE 46. Sanitary Defects Remedied in Registered Houses.
    1909.1908.
  • Page 75
    TABLE 48.
    Disease.Registered Streets.Rest of Borough.
    1908.1909.1908.1909.
  • Page 76
    TABLE 49.
    "Clarendon Street Area"Rest of Borough.
  • Page 77
    Food Purveyors. Numbers of places where Food is sold:—
  • Page 80
    TABLE 50.
    Total.Found Adulterated.Percentage Adulterated.
  • Page 82
    OFFICE (CLERICAL) WORK. The appended figures suggest the mass of work which has to be performed by the Clerical Staff, and give but a very imperfect idea of the very large amount of writing which is necessary, the bulk of which cannot be set out in the form of statistics.
  • Page 83
    The following statement compares last year's amounts (fines and costs) with those received during the 5 years, 1904-08.
    Health Cases.Adulteration Cases.
    £s.d.£s.d.
  • Page 83
    Adulteration Cases.
    1909.1908.1907.19061905.1904.
  • Page 84
    LEGAL PROCEEDINGS, 1909.
    Under Public Health (London) Act, 1891.Fines.Costs.
    Section 4.£s.d.£s.d.
  • Page 85
    LEGAL PROCEEDINGS, 1909—Continued.
    Metropolis Management Act, 1855.
    By-laws pursuant to Section 202.£s.d.£s.d
  • Page 86
    SUMMARY OF LEGAL PROCEEDINGS DURING 1909. Under Sale of Food and Drugs Acts, 1875-1907.
    Fines.Costs.
    £s.d.£s.d.
  • Page 88
    TABLE I. Vital Statistics of Whole District during 1909 and Ten Previous Years. L, G. B. vital statistics.
    Year. 1Population estimated to Middle of each Year. 2Births.Total Deaths Registered in the District.Total Deaths in Public Institutions in the District. 9Deaths of Nonresidents registered in the District. 10Deaths of Residents registered beyond the District. 11Nett Deaths at all Ages belonging to the District.
    Number. 3Rate* 4Under 1 Year of Age.At all Ages.
    Number. 5Rate per 1,000 Births registered. 6Number. 7Rate.* 8Number. 12Rate.* 13
  • Page 89
    TABLE II. Estimated Populations of and Numbers of Births and Deaths (both corrected) in Borough and its Wards. L. G. B.
    Year.Borough.Queen's Park.Harrow Road.Maida Vale.Westbourne.Church.Lancaster Gate,Hyde Park.
    West.East.
  • Page 90
    TABLE III. Causes of Death : Borough—Sex and Age Distribution. 1909. Corrected for Non-Residents dying within, and (as far as possible) for Residents dying beyond the Borough. L. G. B.
    Cause of Death.Age at Death.All Ages.
    0—1—5—15-25—65 and upwards.
    M.F.M.F.M.F.M.F.M.F.M.F.M.F.Persons.
    190919081907
  • Page 91
    TABLE IV. Causes of Death : All Ages, Persons.—In Wards. 1909. Corrected for Non-Residents dying within, and (as far as possible) for Residents dying beyond, the Borough. L.G.B
    Cause of Death.Queen's Park.Harrow Road.Maida Vale.Westbourne.Church.Lancaster Gate,Hyde Park.
    West.East.
  • Page 92
    TABLE V. Deaths in Local Institutions.
    Year.Paddington Workhouse and Infirmary.St. Mary's Hospital.Children's Hospital.Lock Hospital.
  • Page 92
    TABLE VI. Causes of Deaths in Institutions. 1909.
    Causes of Death.Local Institutions.Deaths of Residents recorded beyond the Borough.
    Workhouse and Infirmary.St. Mary's Hospital.Children's Hospital.Lock Hospital,Home of Compassion.Nursing Homes.Hospitals of Metropolitan Asylums Board.Special and General Hospitals.Lunatic Asylums.Poor Law Institutions.Elsewhere.
  • Page 93
    TABLE VII. Deaths of Infants under One Year. L. G. B.
    Groups.Weeks.Months.Totals, under One Year.
    0—1—2—3-0-1—2-3—4—5—6—7—8—9—10—11—19091904-08
    m.f.m.f.m.f.m.f.m.f.m.f.nl.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.
  • Page 94
    TABLE VIII. 1.—Inspection. Including Inspections made by Sanitary Inspectors. H.O.
    Premises.Number of
    Inspections.Written Notices.Prosecutions.
  • Page 94
    4.—Registered Workshops.
    Workshops on the Register (s. 131) at the end of the year.Number.
  • Page 95
    2.—Defects Found.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Remedied.Referred to H.M. Inspector.
  • Page 95
    Work.
    Number of Inspections of Outworkers' premises.Outwork in Unwholesome Premises, Section 108.Outwork in Infected Premises, Sections 109, 110.
    Prosecutions.Instances.Notices served.ProsecutionsInstances.Orders made (S. 110).Prosecution (Section) 109, 110.
    Failing to keep or permit inspection of lists.Failing to send lists.
  • Page 95
    5.—Other Matters.
    Class.Number.